Gastonia Pediatric Associates, PA
Pediatrics in Gastonia, NC. Organization (NPI-2).
NPI number1679568992
StatusActive
Last updated in NPPESJun 4, 2013
Details
- NPI
- 1679568992
- Entity type
- Organization (NPI-2)
- Legal business name
- Gastonia Pediatric Associates, PA
- Organization subpart
- No
- Enumeration date
- Sep 13, 2005
- Last updated
- Jun 4, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 2080A0000X | Pediatrics, Adolescent Medicine | – | – |
Practice location
1839 E Garrison BlvdGastonia, NC 28054-4839
Phone 704-864-2685 · Fax 704-864-9363
Mailing address
1839 E Garrison BlvdGastonia, NC 28054-4839
Phone 704-864-2685 · Fax 704-864-9363
Authorized official
John C Watts,iii
Vice President
7048642685
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